Organization
FEDERAL MEDICAL CENTER DEVENS
Active
Other names
Federal Bureau of Prisons
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERTO BETANCES (ASSIST HEALTH SERVICE ADMINISTRATOR)
(978) 796-1400
Entity
Organization
Contact information
Practice address
42 PATTON RD, AYER, MA 01433
(978) 796-1400
Mailing address
35 OAK KNOLL RD, NATICK, MA 01760-1103
(508) 545-0733
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
PA2382
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA2382
STATE PHYSICIAN ASSISTANT LICENSE
MA
Enumeration date
06/30/2010
Last updated
06/30/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us